#1, the size of our respective countries, the number of People with diabetes (PWDs) in the respective countries. #2 the fact that we DON'T have universal health care here. Universal healthcare may sound good in theory, but in practice it causes delays in getting services, and de-facto rationing of healthcare. That is part of what the current healthcare battle is all about here in the USA.

To answer your first question I send you to this article here ~ http://www.diabeteswellbeing.com/insulin-pump... According to this there are 6 manufacturers who make insulin pumps. Some have multiple lines of pumps, other mfgrs produce only 1.